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NPI Code Detail

MEDICARE: BIBI YASMIN KHAN LMSW

MEDICARE:   BIBI YASMIN KHAN  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker099991NY

General Provider Information

NPI Number : 1700426129
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIBI YASMIN KHAN LMSW
Provider Business Mailing Address
First Line : 2139 ADAM CLAYTON POWELL JR BLVD
Second Line :
City : NEW YORK
State : NY
Zip : 10027-3719
Country : US
Telephone Number : 212-932-9009
Fax Number :
Provider Business Practice Location Address
First Line : 2139 ADAM CLAYTON POWELL JR BLVD
Second Line :
City : NEW YORK
State : NY
Zip : 10027-3719
Country : US
Telephone Number : 212-932-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2020
Last Update Date : 01/14/2020

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Directions to “ BIBI YASMIN KHAN LMSW” Practice Location

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